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DIANE WAGNER M.D. NPI 1194812164


NPI Information

NPI: 1194812164
Provider Name: DIANE WAGNER, M.D.
Classification: Pathology - 207ZB0001X
Entity Type: Individual

Specialization: Blood Banking & Transfusion Medicine

PECOS Registration: Yes

Address:
43 SHEBAR DR
ISLIP, NY
ZIP 11751
Phone: (631) 581-1119
Get Directions

Diane Wagner, M.D. is a blood banking and transfusion medicine pathology in Islip, NY with 35 years of experience. The provider is a physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. Diane Wagner, M.D. NPI is 1194812164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1989

The provider's business location address is:

43 SHEBAR DR
ISLIP, NY
ZIP 11751-409
Phone: (631) 581-1119

The NPI 1194812164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZB0001XPathologyBlood Banking & Transfusion Medicine182713NEW YORKYes
2207ZM0300XPathologyMedical Microbiology182713NEW YORKX
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology182713NEW YORKX
42084P0800XPsychiatry & NeurologyPsychiatry182713NEW YORKX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1375BQ1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.